Job Application

Applicant Information

Peters' Patio & Landscape is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

First Name *

Last Name *

Phone *

Email *

Address

Street Address *

City *

State *

Country *

Zip Code *

Date of Application *

Employment Position

What position(s) are you applying for? *

How did you hear about this position? *

On what date can you start working if hired? *

Do you have reliable transportation to and from work? *

Desired Hourly Wage/Salary *

Personal Information

Do you have any friends, relatives or acquaintances working for Peters' Patio & Landscape? *

If yes, please state name and relationship:

Are you 18 years of age or older? *

Are you a U.S. citizen or approved to work in the United States? *

What documents can you provide as proof of citizenship or legal status? *

Have you ever been convicted of a criminal offense? (Felony or Misdemeanor) *

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you posess for the position for which you are applying:

Note: Peters' Patio & Landscape complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Education & Training

High School

School Name
Location (City, St)
Year Graduated
Degree Earned

College/University

School Name
Location (City, St)
Year Graduated
Degree Earned

Tech/Vocational School

School Name
Location (City, St)
Year Graduated
Degree Earned

Military

Are you a member of the Armed Forces?

What branch did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Most Recent Employment

Job #1 - Employer Name
Job Title
Supervisor Name
Dates Employed
Employer Address
City, St
Employer Telephone
Reason For Leaving

Your 2nd most recent employment

Job #2 - Employer Name
Job Title
Supervisor Name
Dates Employed
Employer Address
City, St
Employer Telephone
Reason For Leaving

Your 3rd most recent employment

Job #3 - Employer Name
Job Title
Supervisor Name
Dates Employed
Employer Address
City, St
Employer Telephone
Reason For Leaving

References

Please provide at least one personal or professional reference below:

Reference First & Last Name *

Phone Number *

Relationship *

AT-WILL EMPLOYMENT

The relationship between you and Peters' Patio & Landscape is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Peters' Patio & Landscape. No representative of Peters' Patio & Landscape has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either a company executive and/or owners. By submitting this form you agree to the above statement and declare all inputted names, and/or information is correct.